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Organization
UCSF MEDICAL CENTER
Active
Organization
UCSF MEDICAL CENTER
Active
Other names
UCSF Optometry Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN LEWIS (UCSF MED GROUP CREDENTIALING)
(415) 476-4029
Entity
Organization
Contact information
Practice address
400 PARNASSUS AVE FL 7, SAN FRANCISCO, CA 94143-0344
(415) 353-2800
Mailing address
1635 DIVISADERO ST STE 625, SAN FRANCISCO, CA 94115-3045
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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